Individual
AMANDA CASEBOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
621 CRALLE AVE, TAPPAHANNOCK, VA 22560-2230
(804) 456-7073
Mailing address
PO BOX 244, KILMARNOCK, VA 22482-0244
(804) 581-0008
(804) 404-9550
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1425205
VA
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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